Chapter 146: Actually Bullying Few of Us
... Zhang Jiade and other internal medicine staff next to Yun, Xu Ze was originally very young and looked like a typical novice green cucumber, so he couldn't help but chuckled secretly. Secretly, as long as this kid makes a little joke, then we will have a good show this time.
But who knew that although Xu Ze looked extremely young. But facing the giants in the hospital, he looked confident and indifferent, and pondered for a while. So he slowly told the patient's medical history, and he was articulate and organized. One word at a time, it sounds simple and clear.
Coupled with the indifferent smile that flashed from time to time on that extremely lovable face, the indifferent and comfortable demeanor and the slightly magnetic voice, Dean Ou, Dean Qian and others showed appreciative smiles and nodded frequently.
Now, the complacency of everyone in the internal medicine department dissipated quickly, and there was no longer the complacent look of waiting to see a good show just now
At this time, Director Zhai beside him also breathed a sigh of relief. He looked at Xu Ze with a smile on his face. He nodded encouragingly. Wu Pao and the other four doctors also let go of the heart that was hanging in their throats at this time, and secretly said: "This Xu Ze usually looks casual and doesn't like talking too much, but who knows that not only The work is excellent. The tongue is also very tight in terms of language. This style is very clear."
Seeing everyone's expressions, Xu Ze became more confident and fluent when he spoke at this time: "The patient was transferred to our hospital five days ago. The cause of the disease was unknown, so he stayed in our department for observation. The patient had a lung infection four weeks ago. Medical history, no other abnormal medical history. After various examinations after admission, no obvious abnormalities were found, and the cause of fatigue is mainly considered: the possibility of myasthenia gravis!"
"After three days of treatment, the patient's condition was temporarily under control, but there was no obvious improvement. At that time, the director of the department, Chief Physician Chung Zhiyuan, was consulted. After careful examination and analysis, Director Zhai believed that the patient did not rule out the newly discovered diseases in foreign countries: Gelinba The possibility of Leigh syndrome; therefore, I performed a lumbar puncture immediately and performed a cerebrospinal fluid test; the results showed that there was obvious protein-cell separation; "
Speaking of this, Xu Ze paused, and continued: "Combining the patient's previous infection history, limb and neck pain before the disease, and the current patient's progressive muscle weakness starting from the lower limbs, combined with cerebrospinal fluid examination and analysis, Director Zhai It is considered to meet the diagnostic criteria of Guillain-Barre Syndrome. After discussing with all the doctors in our department, an effective treatment plan will be determined;”
"It has been two days of treatment so far, and the patient's condition has improved. The muscle weakness has not spread upward. Moreover, the muscle strength of both lower limbs has improved from grade O to grade one. He can already move on the bed and even lift up. The medical history report is over!" Xu Ze smiled and nodded, then sat down slowly.
Dean Ou glanced at Xu Ze approvingly, then turned to look at Director Zhai with a smile and said, "Do you have anything to add, Director Zhai?"
Director Zhai was very satisfied with Xu Ze's report at this time. Xu Ze just didn't mention at all that he himself discovered the abnormality of the patient, but directly put the credit on him, the director.
Not only did it not hurt his face. And it has a long face. He nodded in relief and said, "Dr. Xu's medical history report is very detailed, and there is no need to add any more."
"Well, it's true that there are no weak soldiers under the strong generals. Director Zhai's teaching is good, and the emergency department is full of talents!" Dean Ou praised with a smile, very satisfied with the performance of the emergency department.
Hearing these words, Zhang Reed in the back was anxious. He originally thought that this young man was usually incapable of doing things. This time, he could lose face in the emergency department, but he didn't know that this kid was so eloquent. On the contrary, he won Dean Ou's praise won a lot of impression points for the emergency department.
Now he couldn't help but annoyed: "If Dean Ou prefers the emergency department, how can I have a chance in this internal medicine department!"
Zhang Lide thought for a while with a sullen face, then smiled quietly from behind: "The dean has also listened to the medical history report, let's go see the patient first."
"Alright. Then let's go and have a look together." Dean Xu nodded with a smile.
Seeing that Dean Ou said to see a patient, everyone quickly stood up and accompanied the dean with a large group of people into the ward in a mighty manner.
Seeing a large number of doctors coming in again, the patient and his family members put on smiling faces, and nodded to the familiar Director Zhai and Xu Ze with a smile: "Director Zhai and Doctor Xu are here!"
Director Zhai smiled and said, "These are the leaders of our hospital, Dean Ou, Dean Qian and Dean Sun, who came here specially to check and consult you!"
"Ah, the leaders of labor, I really trouble you. I'm sorry to trouble you." Hearing that these extraordinary doctors turned out to be the director of the hospital, the patient and his family were excited. This big hospital is different, the treatment It is much better than the small hospitals in our city. Not only are the medical skills good, but the service attitude is also very good. Even the dean came to see it in person.
Dean Ou smiled and nodded. I went forward and asked a few words if I was in the hospital, but it was inconvenient. After a few words of condolences, he conducted an inspection based on several points of Guillain-Barre Syndrome. After confirming that it was indeed as reported by Xu Ze, he nodded with a smile, and said a few words to continue the consultation and research together. After reassuring the patient, he brought everyone back to the office.
Dean Ou had seen the patient, and now he had some confidence in his heart, but he hesitated a little. The treatment in the emergency department did have a good effect, but the foundation of the emergency department is weaker after all. If this is transferred to neurology. It should be better, but this is even more embarrassing
Everyone stared at Dean Ou's expression obliviously, waiting for him to make a decision. In that chapter, Dean Ou was still hesitating, so they knew that now was the critical time, and they frowned immediately, but it was He said with a smile: "Director Zhai's neurology department can think of the same treatment methods in your department. And with the relatively professional level of our neurology department, I think we can do better for this patient. I think we should leave it to us! "
Hearing that Zhang Reid started to think again. Director Zhai was not to be outdone, and hummed: "Director Humph, our emergency department has already confirmed the diagnosis, and after two days of treatment, the patient's condition has improved significantly. Besides, the approval document has also come down. At this time, your internal medicine department has reached out. Don't you think it's too much?"
"Director Zhai, that's not what you said. The so-called specialization in surgery. Our neurology department originally treats this, and besides, this Guillain-Barre syndrome involves nerves, infection, fatigue and other departments. There are only a few in your emergency department. Personally, can you take it off?" Zhang Lide sneered.
Hear what the director said. The directors of the Department of Neurology and the Department of Anti-fatigue Medicine nodded and said in a noisy voice, "It's Director Zhai. You're just fooling around. We have so many departments, so we can't compare to your emergency department?"
Being forced by these people, Director Zhai blushed. Shen Sheng said: "Whatever you say, our emergency department speaks from the facts, this patient has obviously improved in less than two days, is it possible to move to your internal medicine department, and you can treat him well in two days? "
Hearing Director Zhai's counterattack, Wu Pao and the others nodded in agreement, but they couldn't intervene. The people present here are all at the director level, and no one of them at the soldier level dares to intervene at will. Waving the flag in the back to cheer for his director.
I can see that the two sides are arguing again. Several leaders also had wry smiles on their faces, knowing that if they had to make a decision today, they didn't know how much trouble this matter would cause.
Dean Ou was really hesitant at this time. He originally wanted to hand over the patient to the internal medicine department, but he also took into account that the emergency department had a lot of credit. Director Zhai even took care of the patients himself, and even a doctor in the rotation department could tell the patient's condition casually, which shows that the emergency department attaches great importance to it. If the patient is taken away at this time, the topic will be transferred to the internal medicine department. I'm afraid everyone in the emergency department is absolutely dissatisfied. And I was afraid of hurting their enthusiasm.
But if you don't transfer it to internal medicine. This internal medicine department is the head of our hospital. In this chapter, Reed's weight in the hospital is heavier than that of Lao Zhai, and there are so many internal medicine staff, it will be even more troublesome to make a fuss...
Vice President Qian and Minister Sun next to him also looked helpless at this time. They helped those who could help the emergency department, and they said everything that should be said in the conference room. Now we can only see how Dean Ou decides. Looking at the current situation, if he helps the internal medicine to speak, I am afraid that this chapter will kill Reed and offend him. He will not make a sound now and wait to see what happens. exhibition.
As expected of Zhang Lide, who has been the director of internal medicine for many years, he is old and cunning. At this time, several leaders were silent, knowing that this matter is not hot enough. It will take a few more fires.
Then he sneered and said, "Director Zhai, since that's the case. How about we discuss this Guillain-Barré Syndrome face to face? Whoever wins will take this subject!"
Hearing Director Zhang's words, several internal medicine directors behind showed a smug smile. This is the killer copper they prepared. For this Guillain-Barré syndrome, they gathered more than a dozen experienced doctors at the level of deputy director and above in the internal medicine department to search the information and analyze the source, etiology, and pathology of this disease together. As well as the feasibility of the treatment plan, I have made all the preparations, just waiting for this moment
Director Zhai heard what Zhang Lide said. Looking at the provocative look in his eyes, and the proud expressions of the directors behind him, he knew that something was wrong. I'm afraid that the internal medicine staff had already prepared this. With one stab at himself, the victory was established in one fell swoop, and the patients and subjects were taken away.
As for myself and others, although they have also conducted detailed research and analysis on this, Guillain-Barré syndrome, there are many people in the internal medicine department, and those in the department of infectious diseases, neurology, and immunology are not vegetarians. I am afraid that collecting information from everywhere has already been extremely thorough in research and analysis, and I must have even secretly found out the treatment information on my own side, so let's talk about it. I'm afraid I'm going to lose the wind here.
"But now, the juncture has come to this, in front of Dean Ou and others. But I can't refuse!" Director Zhai couldn't help but his face darkened, and he sighed helplessly?
The faces of the emergency doctors in the back also sank at this time, and the directors on the opposite side were all very senior and experienced old sparrows. There have been countless debates in ten years of papers. The benefit of the tongue, the breadth of knowledge. I'm afraid it's not something that I and others can handle.
As the faces of all the doctors became extremely ugly, Xu Ze was the only one here, still calm and composed, but there seemed to be a slight sneer in the eyes of the internal medicine staff opposite him...
Fang: Chasing and chasing. The rise is so high that it is only a few votes away from the previous sight. If you failed to catch up yesterday, is there hope today? Tian Nan asked weakly, do you still have tickets?
Is there any more?